| NPI | 1801770086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 13995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1404977) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-20 |